HomeMy WebLinkAbout17-18569 _ CITY OF ZEPHYRHILLS
5335-8TH STREET
' • (sis)�so-oo20 18569
FENCE PERMIT
PERMIT INFORMATION LOCATION INFORNiATION
Permit Number: 18569 Address: 5237 5TH ST
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-13100-0070
Improv. Cost: 80.00 OWNER INFORMATION
Date Issued: 6/15/2017 Name: TREVINO LUZ
Total Fees: 40.00 Address: 5237 5TH ST
Amount Paid: 40.00 ZEPHYRHILLS FL 33542-4041
Date Paid: 6/15/2017 Phone:
Work Desc: INSTALL WOOD FENCE 6' X 100'
CONTR�4CTOR S APPLICATION FEES -
HOMEOWNER FENCE 40.00
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Ins ections Re uired
FINAL
REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this properly that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvere�ents to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement." �
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be pertormed in accordance with City Codes and Ordinances
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ONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTFiS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQIJIRED
PROTECT CARD FROM WEATHER
813-780-OU20 City of Zephyrhills Permit Application Fax-813-780-0021
Butlding Qepartment
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Date Recetved �� _ ,� _ �f
- Phane,Cani#ac#�for�Farmlt#la
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Owner's Name �Z- ! /�E..?(��/� Owner Phone Number
Owner's Address Z�✓' ��� �� � � r!1/ .S� ��' ' •Owner Phone Number �� �
Fee Slmple Tltleholder Name �wL,( �2- 1 �'C?v l�� Owner Phane Number � �
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Fee Simple Titleholdar Address 5�-�� S� S�
J08 ADDRESS Sr./��� S � �� LOT# ��
SUBDIVISION �� � PARCEL ID#
, (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED _NEW CONSTR ADDtALT � StGN o o DEMOLISH
INSTALL 8 ,- REPAIR �
PttQPOSED..U$E Q� SFR � GOMM � OTFEER {
TYPE OF CONSTRUC'1"ION Q BLOCK " [� ' FRAME [��: STEEL C]
�:
DESCt21PTION OF WORK' /'/�Si'`"�//�/� /'!dr'l"G �iI/�e � �x /G'�O fi �
1
BUtLDtNC�Sl2E �� � SQ FOOTAGE , , HEiGHT . � �
BUI�DING $ ��
� ��• � VALUATIOI�1`�F TOTAL CONSTRUCI'{ON (
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QECECi'RICAL . !.� ' -� AMP SERVIGE -Q PROGRESS ENERGY Q W.R.E:C.
OPLUMBING $ '
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I QMEGHANlCAL $ " YALUATION OF MECMANICA�INSTAliAT10N � �
OGAS Q ROOFING [� SPEClAI.TY C� 07HEFt
FINISHED FLOOR ELEVATIONS r�� FI.00D ZQNE AFtEA QYES ,NO
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�uz��E� caM�ar�r. ,. �°� �r.��c-�� -
SIGNATURE �Y^ REGI3TERED Y/ N FEE CURRE� Y/N�'
Addres� • � a N��F �L'icense:#���� � �
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ELECTRtCI1tN: -°GOMPANY ' " ;_ ,°�� , � _ . • �
SIGNATURE "' REGISTERED Y/ N FEE:GURREP-' ' ' -Y/'N
Addresa � ,_ � j_ .,.�� License�.#,� ' �
PLtiMB�R ' COMPANY �, . `
SIGNATURH` ' ` ' � REGISTERED Y./,.N; ,,- FEE,CURRE� • `. Y_/N. '� ` �~
Addre�s � .,License,# ��«f � � ��.
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MECHl4NICA1: ` � , COMPANY "
SIGNA7URE � ' � REGISTERED Y./.N . FEECURRE�,. ,. Y�L�N- � ,
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Address • . , � . " ` License# ' . L . � �,
OTFIER = , , . ' �GOM,PANY ;
SIGNA7URE "� � " ' - ' '` ` "' ` REGISTERED � Y/ N,. .FEE CURFtE� Y/N
Address^ ' � - . License#��'( ' �
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RESIDENi'(l4L:�r. Attacti�{2)nPlot:Platis;.{2)ssfs:cf�Bullding�Ptan"s;'{1)'sef of-Energy'Foiirts;'F2-0=W Perrriit far ciew't�nstruction, , `
- � , Minimum:ten�_(1,0)woricing�d"ays_after subriniftal'd'ate.��;Requlred onslte;:Constructld"n-Plans>Stormwate'r'Plans w/Stlt Fence installed,
^"� Sanflary Faciliti.es&,1.,dumpste�_r,,5ite Work.P:ermit{er subdivislonsllarge:.proJects: -:. -:� ' ' "
-GOMMERCtAL Attach(3}`c�r'i�plete'sets of Bultding'Plans plus a Cife`Safety Page;{1}set of Energy Fotms.R O-W Permit far new canstrucUon.
Mtnimum ten(10)working days after submittal date. Required onsite,Canstruc8an Pians,Stormwater Plans w/SUt Fence installed,
Sanitary Facilitles 81 dumpster.Site Wark Permit'tor all new:proJects..Atl commercial requfrements must meet compllance '
SIGN PERMIT Attar`.t�{2)'set§'of EnglneeredtP..lans.,' _ �
••«"PROPERIY SURVEY required.for all NEW 4wnstructlan.. . �
S}lree#ton�: . . , . �
Ffll out applicadon completely.
Qwner&Contractar sign back of appfication,notarizad
tf over�2�00,a NatEce af Commencement is required. (A►G upgrades over�7500) :
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'" Agent(for the contractor)'ar Power of Attomey"(for tFie owner)would be sameone with�notarized letter from owner autho�izin�same
OVER Tt1E CQUFITER PERMITF7NG --��{Front of-Appltcatton Oniy) -
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage)
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Driveways-Not aver Counter if on public roadways,.needs,ROW��,_ -� - � i�� , _ �
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.��_- 'sL,rl_;l�il;•',.{�'„''-1t.ii: :;o: .. , F� .i'I:v�U',�7<.,_. ,. , ' . , �,
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NOTICE OF DEED RESTRICTIONS; The undersigned under�tands�th�t;thi�;p�rmit;may.be,subject to;°deed"resUlct[ons"y:;.�",_...^�',°A..:.�,
. . . . .. .�... �.:.
which may�be:mo�e�ar.est�ictive tti��%County��r+egr�latfons:��The�und"ersigned�assumes=re'spiSnsibiltty'.for""compliance'with'any
appAcable deed'restrictlons. . -- - °` -='� '�
UNLICENSED-CONTRAC�ORS -AND CON�RACTOR RESPONSI�ILITIES:••-If the-�ouvner has�hired�`a":c�ntractor or
, 1 , � .
contractors to und�rtake work, they may�:be:<requlred�to.�be;ltcensed in.accordance.with,state.and_�locaf.regulations;�.�If•the�-���- ,`
contractor'ts-not licensed`as�rrequlred;tiy lew, tioth the owner and'aonUactor may be�cited"for�°a=rimi�ilemeanor violation
under state law. If the owner or Intended:;,contractor are:uncertaln as to wiiat Iicensing;requtrements�may..apply���for4tfie�-- ����;-���•,.
intended work,�tfiey_a�e advised�to:coritact the Pasco=County,Building;inspection Dlvisi.on--L•icenstng Section at T27-847-���'; _���,,�
8008. Furtherinore, If'the oviirier fias��Filred a cont�acfo� or contractors, he is advlsed to have �the cantractor(s),;sign a -�,;
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portions of the;,°contr�ctor.Block° of;this.tapplication.for:whlch;.they,wfll,be.tesponsibie:- If_�you;,•as�:the owner,stgn��as'#he' �� �
contractor; that'�may`tie an indication that�he`(s°noY:properiy licensed`and�`ts'not entitled to perriiiftfng privileges in Pasco
County. ; ;;...:::_, , .
TitANSPORTAT10N-1MPACT/UTILITiE$~�IMPAC7 ANb RESOURCE RECOdERY FEES: The undersigned-understands ,
that Transpartation Impact Fees and.Reco.urse Recove.ry Fees may���apply�#o�tF�e;construction.of new.buildings�:�change of�=�'`'��-' •`Y� '
use in existing buildings; or.�expansi�n��of��existin,g<buildings� as specifled.in Pasco County Ordinance number 89-07 and: ',
90-07, as amended,;�The undersigned also,:°�understands, that"such fe.es;;;as,may:tie:�.due;=wi11:3be tdentified at the>time�of��; �-"°_=- �'F �
per�itting. It is ftirtFi"er understaod that Transportation Impact Fees and';Resource�Reco�ery�Fees..must be paid prior to '�
receiving�a 'cerfificate�=of-occupancy'°�or�flnal��power;celease;�:If the.projecE_,-does�not,involve=a�certiftcaEe of occupancy-�o���'==-�� ''�
flnal power release;.;;tFie'.fee"s�.must'tie paid prior to,petmit Issuanc�. Futthermore;�if:PascotCounty`VVater/Sewece;impact ���., . � �
fees are due;.they�must be�paid:p�lor�o.permit_;Issuance°;In.accordance wit�appllcabte Pasco�-County�ordinances. • � �I
COtdSTRUCTION'LIEN`LA{N'(Chapte�713� Flortda St�tutes�as amended): If valuatlon of work Is�2�500.00<<or,more�:) � ����
ce�tify that I, �he. appllcant,,have�:been provtded �with a�copy of`the "Florida�°Constructlon: Llen_.Law—Homeowner's
Protectfon Guidep prepared by�tFie Flo"rida DepartmenC of Agric.uitnre and Consum�r_Affairs. if the appl(cant Is so'meone,=�, �,��:::.
other than the"owne�", I certify,.,-that_I.:h�ve;,obtainedja-'=copy.of..the�above..riescribed_�locui�ent,and.,pror�is��.in,good,faith.to .
deliver It to:the"owne�';p�ior�to commencement:' ' � ` ' , -�
CONTRACTOR'S/OVIItVER'S AFFIDAVI7': f.certlfy::ttiat-ail,the,�inf.ormation:In thl�applicatlon is accurate and that all work
will'be done in compliance with all applicable'laws regulating construction, zoning and�land'development. Application,is
hereby made.to obtain :a .permit,:.,�Co:do=;work;�;and�:in"stallation as indtcafed:���:l. ceitify that no workr:or Instaliation tias
commenced p�(or to Issuance of a permif�"and that'.all work wili be pertormed�to meet.standards�of all laws regulating�,
construction, Courtty and City codes, zoning regulatiQns, and tand development cegulations'�tn the�.Jurisdfction:� I`.al'so. _.
certify that I understand-that the cegulations of other government agencies may�apply�to the_intended work, and that it is
my responsibilityato identify•what,act(ons I must•take.to be�in;compiiar�ce...;S.uch,agencies-include but-are.not Ilmited to:
- Department of E�v(ronmentai�°Rrotection=Cypress:�`Bayhead9; Weaand Areas and Envfronmentally Sensttive
Lands,WatedWastewater Treatment. �
- Southwest Florida Water Management:-:�istrlct:Wells; �i;ypress.r Bayheads;- Wetland Areas, Altering
Watercourses. - - , , • � �
- Army Corps of Engtneers-Seawalis,``Docks, Navigeble�Waterways.
- Department of.Flealth,:.& :Ret�abllitativ_e,ServicesLEnvitonmental..Health�Unit Well.s, Wastewater-Tre�tment, ��
S��tic'Tanks:;; ,.., ,,> , . � _ � .. -�- � :
- US Environmental Protectfon Agency-Asbestos abatement....�, .
Federal Av.latton_Aulhorify-Runways::� .. , .
� -1 understand that the.following��estrictions apply t'o the use of flll: -
� - Use of flll is not allowed in;Flood:Zone"V"unless expressly permitted.
' - If the -fiil materiaF��is to 'b.e used`.'In :Flood Zone. "A", ft. Is understood that a drainage plan addressing a
"compensating volume" will be submitted at#ime of<.petmift)ng which Is prepared by a professional engineer �
Iicensed tiy.the State of:Florida. " " � �_.-,: . r: `
- If.the fill material-fs to be used In Flood Zone 'A" In�connection�with�a permitted�buildiilg using stem wall
� construction., i certify.that f[Il�:will��b.e�used only.to.fill the area within the�stem�wall: _ ,
- if flll materlal is to be used in any area, 'I .certify that use. of;such'�flll will not adversely affect adJacent
properties. If use of fill Is found�.to adversely,�ffect adJaEent��properties�,the owner may be cited for violating �
the conditions,.of..the.building:permit�Is"sued'under tlie'attached permit•�ppl(cation;-for_lots�less.than.one (1)
acre whicH are elevated�by flll�an engineered drainage plan Is requlred. .
If I am the AGENT FOR THE�OWNER; I;promise in_good falth to inform the-owner of.�the�permltting conditions set forth in
this aifidavtt�prior to commer�oing construction. I under�tand that a�,separate perm(t may be requtred for elecMcal�work,
fl . S. ��...A. � .
plumbtng, signs, wells,.pools; air conditioNng,..ga.s, or,othec instali�tlons nok spec�ically included-tn.the application. .A•- .
permit Issued shall be consfived to be-a�lfcense`to�proceed with'tiie rwork and~notjas:authority.;to:violate;�:cancel, alter, or
set aside any provisions of the tecfinical c+odes;�nor shall fssuance�of a.permtt pcevent the Bulldirig Official from thereaftec �
requiring a correction af_errors in;plans; consfruction or violations of-any codes: Every'petmft=lssued shail become invalid
unless the work authorized by such permit:is�commenced•withln sfx.,month� of permlt lssuance, or if work authorized by
the permit is suspended�or:abandoned-for a;per(od_of six f6)montfis.aRer the tirne the�work�ts commenced. An extension
may be requested, in writing;�f�om tHe;�Buiiding,Official for a period::not to exceed��ninety-(90)�days a�d-will demonstrate
justiflable cause for:the extension�. If work.ceas�es:for ninety L(90)cons.ecutive�days�..the job;Ps considered aba�doned.
WARMING TO OWNER: YOUR.:�'AILIJRE�TO..R�EC.ORD A:,M071GE;OF�-COMMENCEMEIdT.MAY��RESULT IN YOUR �
PAYING TWICE;FOR-IMPROVEMEN�S_;Tfl YOUt�:;PRt�PERTY.r�1��YO.W�INfEND�TQ'�BTAIN��FINAI�EING;'CONSULT__�
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OWIdERORAGENT - -�. ����iNTRACTO =./ GG�Z ��-�/INO
Subscrlbed and wom to�(o ed before me this Sube rib and m aHirmed)�betore m��tht�
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rsonally known to.me or:has/have produced Vifho.is/are p.ersonally known�.me:or as/have-produced • :
' as Identlflcatlon. ` as Identlflca0on. �
, p " � � Notery Publlc . ' ' Nofary Publlc
Co misslon No': Comrltlsslon No. �'�� ��
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Name oi N Mame ot Notary tyr'ped,pdnted or atamped
;�Qt�se�; DEBRAELAINERUFFELL ..;;P
:'J�;<?Commission#GG 045343' ,,����:;-DEBRA ELAINE RUF ELL
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� 4J ' ' CITY OF ZEPHYItHILLS BLJId,I3ING DEPARTMENT
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Job Location/Address: ,�� �� ��� �( �P�y��� / � �'L �S c.�Z
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Pazcel d.I).#: �
SHOW ALL EXISTING.&PROPOSED STRUCTURES GIVIlVG DIMENSIONS&SETBACKS
UTILITY BUILDINGS MUST SHOW SIZE&FOUNI�ATION INFORMATION
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(NO�'E EXAM[PI,ES 1&2)..
Example 1. Setbacks for Rl &R2 Zoning . Example 2. Setbacks for R3 Zoning
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� , DISCLOSIIRE ST�xII�NT FOR OWNER ,
Cl2'Y OF ZSPIiXRHILL$ SUILDING DBP.ART�I�iT
I, [xC�i / ���/�� have read aad fully uadlerstaad aad
agre� �o the provisioas af this instrument.
The uadersigned etates aad� affirms tha� h� or she is deeiroue of constructiag,
reaovatiag: addi.ng ta or reraofia� his ar her av�a damieile, that he or sh�
actually accagies, or will occupg hg said damiaile, anci same 3s nat for
reat, 1eas� ot sale. Tha�t he or she shall oompl�r �s�vi�h the followir�g aoanditioas:
S. That the owaer aud he ox she aloae shall act a� the builder for all phases of
coastructioa. `
2, That the owuer will eamply� w3th �ll. provisicas of the City a� Zephyrhills
ordinances �ud codes pertineat ta th� buildiag.
3. That ia the eveat various phases of caastructiaa ax�e subaoatraeted, he will. _
eag�age oaly proper].y liceased subco�ntxactor� aad will persanally �aupexwise
guch waark.
4. That in the eveat the Buildirig Iaspector shall require carreatians to be made,
�he o+c,r�er wi11 assume full respoasibi2ity to iasure they are mad�, aa.d upon
completion w311 call for a reiaspection b�fore p=oceedzng with the building.
5. That th� owraer shall assume £ull reepaasibility for the coastruct3on aud wi11
not expect supervision af his work �ram the City of Z�playrrhills Suildiag
Departmeat.
6. That przcr ta �iaal iaspectiau asay add[itianal feea, iacludiag reinspectiaa
feesj mu�t be paid in full. A wr3t�eu reqtxe�t from thi� office sha31
coastitute an official not3,ce to gay add3tioaal fees.
7. That �h� owaer shall comply with �11 City, S�ate sad Federa.l laws ia regard to
soci.al secura.ty, workman's comp�nsatian, lien laws, etc. , where applicable.
8. That �he oc+*aer shall camply with alI th� saf�ty cades issued by the Florida
Iadus�rial Cammission.
9. State law requires coaatxuctioa to be doae by liceased cantractors. You have
applied fox a permit u.nder aa exemptio�n to thst lava. The exemQtioa �llow�
you. �e the avaaer of your property, to aat as your osva caatractar with cert�ia
res�rictioas evea though yau do aot have � license. Yau must psovide direc�
ons3te supervisiou of the construatioa yourseZf. You may build or impzav� a
one-fam3.ly or t�o-familg residenee or �. farm ou�buildisig. You mag �.lsa build
or 3mprove a commercial buildiag, pravided your casts do aot exaeed $75,OQ0.
The buildiag or resideace must be �or your owa use or occupaacy. It may aot
be built or substaatially improved for sale or lease. I£ yau aell or lea�e a
buil�iag you have built or substaatially 3mproved yoursel� withia 1 yea= after
the coastr�setiosa is comp].et�, the law va�ill presume that yau built or
subatantially improved if far sale ox lea,se, which is a violatioa of this
escemptioa. You may aot hire an ualicesased pessoa to act as your caatxaatar or
ta sup�errrise people workiag on yaur buildiag. It is yaur r�sponsibility to
make sure that p�ople employed by yo�a have licenses required by stat� law and
by eauaty or muaicipai lieeasiag ordinaaees. You may nat delegat� ,the
respoaaibility for supervisiaq wark to � liaeased coatractor who is' aot
liceased ta per�orm the work beiag done. Aay persoa warkia� oa your buildiag
who is aat lioens�d must work un.der your direct eugervisioa aad must be
-- employ+ed by__You._ which m��aae—tha�vou-must-de�uct-i�.-��.-�: -aad-�ithho-1�3ing--tax— —_--- -_
�`� and provi.de workess' eampensation far that employee, a21 as prescribed by law.
Your coastructioa must compZy with al.l appli,cable Zaws, crd3aaaces, buildiug
codes, and zoniag r atioa
OWNER'S SIGZdAT DATE � �r o�� I
ADDRESS �- t r r . t,. 3 �
PIiQNT - - 1�
AIITNSSS PSRMIT #
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